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    September 8, 2010
 

 
Living In SpainHealthEntitlements  

 

 

Contributions & Benefits for Public Health-care 

If you have made regular payments by way of social security contributions in your own country prior to moving to Spain, then you should be entitled to public health cover for a limited period, from the date of your last contribution, up to a maximum of 3 years but it is normally 2.  In the UK, full information can be obtained from the DHSS in Newcastle.
 
Public health benefits include general and specialist medical care, hospitalisation, subsidised drugs, dressings and medicines, basic dental care but excluding cosmetic dentistry, maternity care, appliances and transportation. Whilst both general and specialist medical treatment is free, patients, must pay a percentage of the cost of certain item’s such as drugs and medicines. These should be free if you are retired.
 
Contributions are considerably less than those required in the UK and medicines are often cheaper but not all.
 

There are several ways in which you may be entitled to benefits from Spain's Social Security Service:

  • If you contribute to the country's system of social security. To be able to do this you need to be working either as an employee or on a self-employed basis.
  •  If you are an EU national, retired and in receipt of a state pension you are fully covered for all aspects of health care in Spain including free drugs and medication.

 
 New Health Care for British Citizens

On August 14th 2004 the conselleria de Sanidad of the Valencian Autonomous Community issued fresh instructions on the procedures to be adopted by Health Centres when considering applications for health cover from British Citizens who have moved to this part of Spain.

*Please note that this applies only in the provinces of Castellon, Valencia and Alicante. 

British citizens who are neither pensioner nor employed can apply for health care under the Spanish Social Security System as it operates in the Valencian Independent Community.
 
They should apply for a tarjeta Sanitaria (Health card) or more commonly know as a SIP card at their local health centre, prepare to be patient though as staff there are often unaware of the current ruling and depending on what sort of mood they are in can sometimes, not always make it quite difficult to be obtained. For a permanent SIP card you need to register all your documents E forms and or work contracts at your local INNS office
 
You will be required to produce the following documents
 
  • Valid British passport
  • Residence certificates and NIE´s
  • Padron (proof of Residency & address) recently issued - they have a life of 3 months at the moment
  • If you have dependants, proof they are ie birth certificates, marriage certificates etc
  • E forms/works contract if working in Spain
 
For temporary SIP cards you should have a document stating that the applicant is not entitled to health care in any other country (following consultations with Medical Benefits, Newcastle on Tyne and Concelleria de Sanidad, Valencia, this should take the form of Medical Benefits written notification that a person does not qualify for any of the E forms accompanied by a Spanish translation of this by a sworn translator or a certificate from the consulate confirming the authenticity of this document).
 
I have tried to find a copy of this letter on the website in the UK but have had no luck up to now having said this neither have I ever been asked for this and still obtained SIP cards for clients neither working nor retirement age.......
 
 
Medical Benefits the pension service
Tyneside Park
Newcastle upon Tyne
NE98 1BA
 
Telephone 0044 191 218 7547
 

New EHIC

The New European Health Insurance Card is now in use and this replaced the old E111 form.
 
There are two forms to apply for this card which can be downloaded from the website here
 
The main difference between the old form and the new card is that the new card is now issued on an individual, as opposed to a family, basis. However, you will only need to complete one application form in order to receive cards for each of you, your spouse/partner and children.
 
If you are going on holiday and plan to live abroad afterwards fill in an application form and send it (with full details of your circumstances) to:
The Department for Work & Pensions
The Pension Service,
International Pension Centre,
Medical Benefits Section,
Tyneview Park,
Whitley Road,
Newcastle-upon-Tyne
NE98 1BA
Tel: 0191 218 7547,
Monday to Friday 08.00–20.00.
 
In resort areas and major cities, Spain's social security health system is on a par with that of the UK but sometimes without the lengthy waiting lists.  Where an operation may be life saving, there is usually little waiting if any.
 
Go to The British Expats Association in Spain for up to date information on your rights to Health care here in Spain
 
 
It is advisable to have and carry Medical Cards - For most of us Living on the Costa’s of Spain the biggest differences between living in the UK and here is the need to carry identification and personal documents with you at all times. Well, in theory we should be carrying at least residence certificates or passport and a driving license. It could help save your life in a crisis if you are always prepared. Unlike in the UK it is not always straight forward when obtaining medical care in an emergency. In the case of state medical care this is likely to be a SIP card, which looks like a plastic credit card. 
 

Red Cross

You could if you so wished join the Red Cross here in Spain, as in any other EU country it is run & staffed by volunteers and relies mostly on money donated or given. To become a member will not only help the Red Cross but give you and your family peace of mind also. Membership costs around 70 euros per year! (this was the cost in 2006 so not sure if it has increased). This is per family and for that you will receive emergency ambulance call-outs and payment of emergency medical treatment.

To become a member you have to register. This can be done at your nearest Red Cross Establishment. You will need to take with you:
 
  • Passport & or NIE Number
  • Bank Book
  • Your full postal address
  • A location map of your property* this is very important for the ambulance to find you!
  • You will have to complete a simple form: Hoja de domiciliacion bancaria and this will set up an annual direct debit
 
*The location map of your property is crucial. As we know, the roads and lanes in our area are not always identified. As more & more houses are built the local Town Hall and Red Cross maps become more & more out of date. In addition to a map it would also be advisable and helpful to set up a meeting point, should you have to direct the ambulance to your property.
 
The Red Cross will respond to any medical emergency and will not refuse help to non members, however please note that if you are not a member and they do help then you will be charged and the cost could be as much as 150 euros for transportation to hospital.
 
Many people make an annual contribution to the Red Cross of as little as 30 euros.
 
The Red Cross are not just about ambulances and emergency medical assistance. They are active in providing a number of social activities and general health support within the community. They are always looking for volunteers to help.
 
As far as we are aware there is only one Red Cross Station in this area providing 24 hour cover and that is Novelda, this is the station that should be called in an emergency, they will then co-ordinate with whichever station is nearest to you. There are sub stations and there is one in the neighbouring town of Crevillent
 
The number for them in Novelda is 0034 965 602 647
 

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